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FOR OFFICE USE ONLY PERMIT# [—k 10(9S0'.11 <br /> B.UILDIN. !_ PLANNING <br /> Bldg/TI/Addn/Rem Size Zoning Classification <br /> Garage Size Overlay/Agreement <br /> VALUATION Nonresidential Use <br /> Number of Stories Residential Use <br /> Occupancy Group Proposed No. of Dwelling Units: <br /> Occupant Load Total No. of Dwelling Units: <br /> Basement Yes No_Fin/Unf Landscape or Planning Inspection <br /> Type of Construction needed before final? Yes_ No <br /> Existing Sprinkler system? Yes— No_UnkPlanning Inspector: <br /> Fire Sprinkler Required Yes_ No_ Phone#: <br /> Reason Approved by: Date: <br /> Existing Fire Alarm Yes_ No Unk_ Historic Approved by: Date: <br /> Fire Alarm Required Yes_ No School Mitigation Reqd? Yes No_ <br /> Reason Everett School Dist Mukilteo School Dist <br /> Enclosure Law Applies Yes_ #of Net New Units: <br /> Deferred Submittal Req'd Yes No_ Calculated School Impact Fee: <br /> Approved by: MR Date: VI/10 School Impact Fee Credit: <br /> Comments: Total School Impact Fee Owed: <br /> Comments: - <br /> PURLiC WORKS : . <br /> Intake Checked By: 1i.(3 Date: Y /2-/,L <br /> Plan Check Fee Intake Comments: <br /> Building Permit <br /> Surcharge <br /> Additional Plan Check PW Permit Application Submitted? Yes No <br /> Plumbing Fee PW Worksheet Required? ' Yes No <br /> Mechanical Fee PW REVIEW: PW Reviewer: Date: <br /> Ping Bldg Review Fee SEE PW WORKSHEET-returned to file <br /> Water Fee X PW Per- it•Approved, PW Permit Not Required <br /> Sewer Fee <br /> Systems Dev. Fee rFIRE DEPARTMENT .. <br /> Traffic Mitigation Fee Update/New Sprinklers Yes 'K No_1 Existing Bldg. <br /> [ _ <br /> Public Works Fee Update/New Detection Yes_ No Existing Bldg. <br /> School Mitigation Fee Update/New Chemical Yes— No / Existing Bldg. <br /> Update/New Fie Service Yes No / Existing Bldg. <br /> Approved by: `dLk <br /> Date:C - l-t(o <br /> V <br /> Comments: <br /> ,- <br /> I D'. <br />